The global health insurance exchange (HIX) IT market is segmented based on type, phase, component, enduser, and geography. On the basis of type, the market is broadly classified into public and private exchanges. Based on phase, the market is divided into pre-implementation services, implementation/ exchange infrastructure delivery, program management and independent verification and validation (IV&V)/quality assurance (QA), and operations and maintenance. The market, by component, is divided into services,software, and hardware. Based on enduser, the HIX IT market is segmented into government agencies, third party administrators (TPAs)/brokerage firms/consultancies, and health plans/payers. Based on geography, the market is classified into the U.S., Europe, Asia, and the Rest of the World (RoW).

The health insurance exchange market shows a double-digit growth rate due to the PPACA reforms, federal funding, trend toward defined contribution model, and drive to reduce healthcare costs and make healthcare affordable. Apart from these parameters, other factors such as growing healthcare IT adoption, boosting healthcare information exchanges, and integration environments are indirectly supporting this market growth. However, factors such as dataprivacy and security issues, high capital investments, lack of awarenessespecially for private exchanges, complex set of technologies, changing regulations, and lack of manpower with healthcare and technical skills may hinder the growth of this market.

The U.S. health insurance exchange market carries a lions share in the global market and is yet poised to grow at the fastest CAGR during the forecast period owing to growing adoption of private exchanges. The European market currently has a miniscule market share, growing at a lower rate mainly due to economic crisis, cultural barriers to IT adoption, and lack of initiatives for implementing HIX. Currently, Asia and the Rest of the Worlddo not have a measurable stake in this market. However, increasing HCIT and HIE adoption, decent IT skills, and the increasingoutsourcing trend is expected to generaterevenues in terms of private exchanges in this market in the near future.

The Health Insurance Exchange (HIX) IT market includesthe revenue generated by the IT vendors mainly in terms of planning, designing, and implementing exchanges, system integrations, program management, operations, and maintenance. This report studies the health insurance exchange market by exchange type, phase, component, end user, and geography.

The marketis driven by several factors such as federal health insurance mandates, federal funding, trend toward defined contribution model, and drive to reduce healthcare costs and make healthcare affordable, growing healthcare IT adoption, and the shift towardintegrated environments. The global market is valued at an estimated $1,609 million in 2013 and is expected to grow at a CAGR of 10.5%during the forecast period (2013-2018). Growth is mainly driven by private exchanges and operational and maintenance activities for public exchanges.Cloud-based computing shows a great opportunity in the HIX market.

The market is segmented based on exchanges types, phases, components, endusers, and geography. On the basis of exchange type, the market is divided intopublic and private exchanges. Based on phase, the market is divided into pre-implementation services, implementation/exchange infrastructure delivery, program management and independent verification and validation (IV&V)/qualityassurance (QA), and operations and maintenance. The market, by component, is divided into services, software, and hardware. Based on end user, the market is segmented into government agencies, third party administrators (TPAs)/brokerage firms/consultancies, and health plans/ payers. Based on geography, the market is classified into the U.S., Europe, Asia, and the Rest of the world (RoW).

Public exchanges account for the largest share of the Health Insurance Exchange market in 2013. Despite the largest share carried by public exchanges, private exchanges overtake significantly in terms of market growth. Currently, the private health insurance exchange market is in its nascent stage. However, the concept of private exchanges gained a much higher attention in 2013 with the introduction of the ACA due to which exchange discussion started to take off in the real sense. Skyrocketing healthcare costs are making increasing number of employers to shift from traditional defined benefit plans to defined contribution plans helping them to manage costs as well as benefit their employees.

The global market is significantly dominated by the U.S. carrying a share of over95%.The U.S. is expected to continue to lead this market during the forecast period.The European market currently has a miniscule market share, growing at a lower rate mainly due to economic crisis, cultural barriers to IT adoption, and lack of initiatives for implementing HIXs. Currently, Asia and the Rest of the World donot have a measurable stake in this market. However, increasing HCIT and HIE adoption, decent IT skills, and the increasingoutsourcing trend will generate revenue in terms of private exchanges in this market in the near future.

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Market Size and Analysis for each Type of Exchange, by End-user Market Size and Analysis for End-user market, by Type of ExchangeA break down of what type of exchange each U.S. State runsAffordable Insurance Exchange Grants for each U.S. State (2012 and 2013)

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